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ANTHONY BOUDREAU AGPCNP
NPI 1558075432
Nurse Practitioner in Colorado Springs, CO

Active since January 06, 2023PECOS EnrolledAccepts Medicare Assignment
559 VINCENT ST, COLORADO SPRINGS, CO 80914(719) 556-1128 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anthony Boudreau Agpcnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY BOUDREAU AGPCNP (NPI 1558075432) is an individual nurse practitioner in Colorado Springs, Colorado, licensed in Colorado (APN.0998339-NP) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1558075432
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameANTHONY BOUDREAUCredential: AGPCNP
Location Address559 VINCENT STColorado Springs, CO 80914-1541
Mailing Address559 Vincent StPeterson Space Force Base, CO 80914
Phone(719) 556-1128
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 6, 2023
NPPES CertifiedJanuary 5, 2023
✔ NPI 1558075432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CO · APN.0998339-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
559 VINCENT ST, Colorado Springs, CO 80914
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Boudreau Agpcnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476918335
PECOS Enrollment IDI20230427001809
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Anthony Boudreau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Renue U Medspa PC
7.0 mi
Family
5390 N ACADEMY BLVD STE 150
Colorado Springs, CO 80918
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group
NPI 1811658289 (303) 741-0990
Front Range Wound Care PC
54 mi
Allergy & Immunology
6825 S GALENA ST STE 200
Centennial, CO 80112
  • Reassigned Medicare billing, Colorado enrollment
  • 11 clinicians in this Medicare group
NPI 1881341816 (303) 741-0990

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRYSTIN HUST DPT
Physical Therapist
559 VINCENT ST
PETERSON AFB, CO 80914
El Paso County (719) 524-2273
JAMES NEAL SUTHERLAND DDS
Dentist
559 VINCENT ST
PETERSON AFB, CO 80914
El Paso County (719) 556-1060
WAYNE ERWIN GRABOW DENTIST DDS
Dentist
559 VINCENT ST, 21 DS/SGGD-DENTAL CLINIC
PETERSON AFB, CO 80914
El Paso County (719) 556-1333
MICHELLE MONTGOMERY WHNP
Nurse Practitioner (Women's Health)
559 VINCENT ST, FAMILY PRACTICE CLINIC
PETERSON AFB, CO 80914
El Paso County (719) 556-1080
MEREDITH L FAAS LCSW
Social Worker (Clinical)
559 VINCENT ST
COLORADO SPRINGS, CO 80914
El Paso County (719) 357-8957
MR. RYAN S OGILVY MSW, LCSW
Social Worker (Clinical)
559 VINCENT ST, ATTN: 21MDOS/SGOW- MENTAL HEALTH
PETERSON AFB, CO 80914
El Paso County (719) 556-7804
ALICIA TERESA ROZYCKI PH.D.
Psychologist (Counseling)
559 VINCENT ST, ATTN: 21 MDS - SGOF
PETERSON AFB, CO 80914
El Paso County (719) 567-4489
DR. LOUIS A PAGANO JR. PH.D.
Psychologist (Counseling)
559 VINCENT ST, ATTN: 21 MDS/SGOW-MENTAL HEALTH
PETERSON AFB, CO 80914
El Paso County (719) 526-8873

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Boudreau's NPI number?

The NPI number for Anthony Boudreau is 1558075432. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Anthony Boudreau located?

Anthony Boudreau practices at 559 Vincent St, Colorado Springs, CO 80914. The listed phone number is (719) 556-1128.

What is Anthony Boudreau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Anthony Boudreau enrolled in Medicare?

Yes. Anthony Boudreau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Anthony Boudreau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Boudreau reassigns Medicare benefits to 2 organizations: Renue U Medspa PC (Colorado Springs, CO) and Front Range Wound Care PC (Centennial, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Boudreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anthony Boudreau was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.